Haygood, Laura Jennifer

Haygood, Laura Jennifer is an sole proprietor health care provider with primary practice located at 455 Rice Road Ste. 104, Tyler TX 75703-3604. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Other Service Providers / Specialist is her primary health care specialty. Haygood, Laura Jennifer can be contacted via phone (903) 597-3376.

Contact Information

Primary practice address
455 Rice Road Ste. 104 Tyler TX 75703-3604
Phone: (903) 597-3376
Fax: (903) 526-7703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K3905 Texas
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X K3905 Texas
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X K3905 Texas
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X K3905 Texas

Profile Details

NPI number 1609083203
LBN Legal business name Haygood, Laura Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Aug 12th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609083203 NPPES
Texas Other 0082DN BCBS

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